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多功能外固定支架结合腓骨内固定治疗胫骨极远端近关节面部位骨折
引用本文:杭如群,张建华,李丽霞.多功能外固定支架结合腓骨内固定治疗胫骨极远端近关节面部位骨折[J].航空航天医药,2011,22(10):1160-1161.
作者姓名:杭如群  张建华  李丽霞
作者单位:1. 河北省邯郸矿业集团康城社区管理中心医院外科,武安,056306
2. 邯郸矿业集团总医院骨科,邯郸,056105
摘    要:目的:分析和观察多功能外固定支架结合腓骨内固定治疗胫骨极远端近关节面部位骨折的疗效。方法:采用多功能外固定支架结合腓骨切开复位内固定进行外固定治疗。结果:17例病人经过平均13个月随访全部骨性愈合,平均愈合时间4个月,去除外固定支架时间平均5个月。1例病人针道深部慢性感染,窦道刮除后置管闭合冲洗痊愈。2例病人术后3处针道浅部感染,换药、抗炎愈合。所有病人踝关节、趾间关节功能良好,无畸形。结论:多功能外固定支架结合腓骨内固定治疗胫骨极远端近关节面部位骨折操作简单,效果佳,愈合快。

关 键 词:外固定器  骨折固定术  胫骨骨折

Treatment of the Lower Tibial Fractures Near Ankle Articular Surface with Multi-functional External Fixator Combined with the Fibular Open Reduction and Internal Fixation
HANG Ru-qun,ZHANG Jian-hua,LI Li-xia.Treatment of the Lower Tibial Fractures Near Ankle Articular Surface with Multi-functional External Fixator Combined with the Fibular Open Reduction and Internal Fixation[J].Aerospace Medicine,2011,22(10):1160-1161.
Authors:HANG Ru-qun  ZHANG Jian-hua  LI Li-xia
Institution:HANG Ru-qun,ZHANG Jian-hua,LI Li-xia(The Handan Mining Group Community Management Center Hospital of Kangcheng,Hebei 056306,China)
Abstract:Objective:To dicuss clinical efficacy of multi-functional external fixator for treatment of the lower tibial fractures combined with fibular open reduction and internal fixation.Methods:From March 2005 to November 2008,fibular open reduction and internal fixation combined with multi-functional external fixator was employed to treat 17 lower tibial fractures near ankle articular surface.Results:All patients were followed up for an average of 13(rang,12 to 16) months.Solid bone union was achieved in all the f...
Keywords:External fixator  Fracture fixation  Tibial fracture  
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